Katharine Fraser

Viraj Patel, Marko Grujic, Philipp Aigner et al.

Cardiac blood flow patterns contain rich information about disease severity and clinical interventions, yet current imaging and computational methods fail to capture underlying relational structures of coherent flow features. We propose a physics-informed, latent relational framework to model cardiac vortices as interacting nodes in a graph. Our model combines a neural relational inference architecture with physics-inspired interaction energy and birth-death dynamics, yielding a latent graph sensitive to disease severity and intervention level. We first apply this to computational fluid dynamics simulations of aortic coarctation. Learned latent graphs reveal that as the aortic radius narrows, vortex interactions become stronger and more frequent. This leads to a higher graph entropy, correlating monotonically with coarctation severity ($R^2=0.78$, Spearman $|ρ|=0.96$). We then extend this method to ultrasound datasets of left ventricles under varying levels of left ventricular assist device support. Again the latent graph representation captures the weakening of coherent vortical structures, thereby demonstrating cross-modal generalisation. Results show latent interaction graphs and entropy serve as robust and interpretable markers of cardiac disease and intervention.

Viraj Patel, Lisa Kreusser, Katharine Fraser

Blood flow is sensitive to disease and provides insight into cardiac function, making flow field analysis valuable for diagnosis. However, while safer than radiation-based imaging and more suitable for patients with medical implants, ultrasound suffers from attenuation with depth, limiting the quality of the image. Despite advances in echocardiographic particle image velocimetry (EchoPIV), accurately measuring blood velocity remains challenging due to the technique's limitations and the complexity of blood flow dynamics. Physics-informed machine learning can enhance accuracy and robustness, particularly in scenarios where noisy or incomplete data challenge purely data-driven approaches. We present a physics-informed neural field model with multi-scale Fourier Feature encoding for estimating blood flow from sparse and noisy ultrasound data without requiring ground truth supervision. We demonstrate that this model achieves consistently low mean squared error in denoising and inpainting both synthetic and real datasets, verified against reference flow fields and ground truth flow rate measurements. While physics-informed neural fields have been widely used to reconstruct medical images, applications to medical flow reconstruction are mostly prominent in Flow MRI. In this work, we adapt methods that have proven effective in other imaging modalities to address the specific challenge of ultrasound-based flow reconstruction.